Trial Outcomes & Findings for Copper IUD Treatment Observation Study (NCT NCT02519231)

NCT ID: NCT02519231

Last Updated: 2020-10-14

Results Overview

Number of bleeding and spotting, spotting only and bleeding only days given as mean. We calculated the mean difference and 95% confidence interval between the two treatment groups and provided the p-value of means.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

34 participants

Primary outcome timeframe

4 months

Results posted on

2020-10-14

Participant Flow

Between February 2016 to May 2017, 34 women enrolled into the study, of whom 28 were randomized.

Subjects who completed the baseline questionnaires were contacted 4-5 weeks later to determine eligibility for randomization to a treatment arm. Participants were eligible to be randomized if they reported any change in menstrual bleeding since their TuC380A insertion, were willing to forgo NSAIDs, and willing to record their daily bleeding.

Participant milestones

Participant milestones
Measure
Treatment
This study arm includes naproxen as potential treatment for heavy or prolonged bleeding or dysmenorrhea may provide useful preliminary data for a larger, adequately powered placebo-controlled comparative trial . Naproxen: Naproxen 440mg 1x bid for fist 7 days of menstrual cycle
Placebo
This study arm includes capsules that are exactly like the active treatment medication (naproxen), but there is no active treatment medication in these tablets. Placebo: Placebo tablet 440mg 1x bid for first 7 days of menstruation
Overall Study
STARTED
14
14
Overall Study
COMPLETED
12
8
Overall Study
NOT COMPLETED
2
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment
This study arm includes naproxen as potential treatment for heavy or prolonged bleeding or dysmenorrhea may provide useful preliminary data for a larger, adequately powered placebo-controlled comparative trial . Naproxen: Naproxen 440mg 1x bid for fist 7 days of menstrual cycle
Placebo
This study arm includes capsules that are exactly like the active treatment medication (naproxen), but there is no active treatment medication in these tablets. Placebo: Placebo tablet 440mg 1x bid for first 7 days of menstruation
Overall Study
Lost to Follow-up
2
5
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Copper IUD Treatment Observation Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=14 Participants
This study arm includes naproxen as potential treatment for heavy or prolonged bleeding or dysmenorrhea may provide useful preliminary data for a larger, adequately powered placebo-controlled comparative trial testing additional promising treatments, such as tranexamic acid. Naproxen: Naproxen 440mg 1x bid
Placebo
n=14 Participants
This study arm includes capsules that are exactly like the active treatment medication (naproxen), but there is no active treatment medication in these tablets. Placebo: Placebo tablet 1x bid
Total
n=28 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=93 Participants
14 Participants
n=4 Participants
28 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Continuous
29.3 years
n=93 Participants
29.3 years
n=4 Participants
29.3 years
n=27 Participants
Sex: Female, Male
Female
14 Participants
n=93 Participants
14 Participants
n=4 Participants
28 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
2 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
12 Participants
n=93 Participants
11 Participants
n=4 Participants
23 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
14 participants
n=93 Participants
14 participants
n=4 Participants
28 participants
n=27 Participants

PRIMARY outcome

Timeframe: 4 months

Population: Population who submitted bleeding diaries at the end of the 6-month trial. We used intention-to-treat and included all data we had. We excluded missing data

Number of bleeding and spotting, spotting only and bleeding only days given as mean. We calculated the mean difference and 95% confidence interval between the two treatment groups and provided the p-value of means.

Outcome measures

Outcome measures
Measure
Treatment
n=12 Participants
This study arm includes naproxen as potential treatment for heavy or prolonged bleeding or dysmenorrhea may provide useful preliminary data for a larger, adequately powered placebo-controlled comparative trial . Naproxen: Naproxen 440mg 1x bid for fist 7 days of menstrual cycle
Placebo
n=8 Participants
This study arm includes capsules that are exactly like the active treatment medication (naproxen), but there is no active treatment medication in these tablets. Placebo: Placebo tablet 440mg 1x bid for first 7 days of menstruation
Mean Days of Bleeding and Spotting, Spotting Only and Bleeding Only for the 84 Day Treatment Cycles and Last 28 Day Post-treatment Cycle
Bleeding or spotting days first 84 days
29.2 days
Standard Error 4.5
23.0 days
Standard Error 2.8
Mean Days of Bleeding and Spotting, Spotting Only and Bleeding Only for the 84 Day Treatment Cycles and Last 28 Day Post-treatment Cycle
Bleeding or spotting days last 28 days
9.3 days
Standard Error 1.9
9.6 days
Standard Error 0.9
Mean Days of Bleeding and Spotting, Spotting Only and Bleeding Only for the 84 Day Treatment Cycles and Last 28 Day Post-treatment Cycle
Bleeding only days first 84 days
15.7 days
Standard Error 2.1
15.5 days
Standard Error 1.8
Mean Days of Bleeding and Spotting, Spotting Only and Bleeding Only for the 84 Day Treatment Cycles and Last 28 Day Post-treatment Cycle
Bleeding only days last 28 days
4.8 days
Standard Error 1.0
6.6 days
Standard Error 1.2
Mean Days of Bleeding and Spotting, Spotting Only and Bleeding Only for the 84 Day Treatment Cycles and Last 28 Day Post-treatment Cycle
Spotting only days first 84 days
13.5 days
Standard Error 5.1
7.5 days
Standard Error 1.7
Mean Days of Bleeding and Spotting, Spotting Only and Bleeding Only for the 84 Day Treatment Cycles and Last 28 Day Post-treatment Cycle
Spotting only days last 28 days
4.5 days
Standard Error 2.0
3.0 days
Standard Error 0.8

SECONDARY outcome

Timeframe: 4 months

Population: Includes participants who responded to the monthly questionnaires, based on intention to treat analysis.

Percentage reporting moderate-heavy/heavy menses, often/always menstrual cramping and 7 or more days of menstrual bleeding during the first 84 days and the last 28 days. We also report % difference and p-value between the two treatment groups.

Outcome measures

Outcome measures
Measure
Treatment
n=13 Participants
This study arm includes naproxen as potential treatment for heavy or prolonged bleeding or dysmenorrhea may provide useful preliminary data for a larger, adequately powered placebo-controlled comparative trial . Naproxen: Naproxen 440mg 1x bid for fist 7 days of menstrual cycle
Placebo
n=14 Participants
This study arm includes capsules that are exactly like the active treatment medication (naproxen), but there is no active treatment medication in these tablets. Placebo: Placebo tablet 440mg 1x bid for first 7 days of menstruation
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 1 : Unexpected bleeding
6 Participants
5 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 2 : Moderate heavy or heavy bleeding
4 Participants
8 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 3 : Moderate heavy or heavy bleeding
6 Participants
7 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 3 : Menstrual bleeding length 7+ days
6 Participants
5 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 4 : Moderate heavy or heavy bleeding
7 Participants
5 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 4 : Menstrual bleeding length 7+ days
6 Participants
6 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 4 : Often/always cramping
3 Participants
1 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 4 : Unexpected bleeding
5 Participants
6 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 1 : Moderate heavy or heavy bleeding
7 Participants
7 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 1 : Menstrual bleeding length 7+ days
8 Participants
5 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 1 : Often/always cramping
1 Participants
5 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 2 : Menstrual bleeding length 7+ days
8 Participants
5 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 2 : Often/always cramping
1 Participants
1 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 2 : Unexpected bleeding
7 Participants
7 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 3 : Often/always cramping
1 Participants
1 Participants
Percentage Reporting Moderate-heavy/Heavy Menses, Often/Always Menstrual Cramping and 7 or More Days of Menstrual Bleeding for the 84-day Treatment Months and 28-day Post-treatment Month
Month 3 : Unexpected bleeding
1 Participants
5 Participants

Adverse Events

Treatment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Emily Godfrey

University of Washington

Phone: 206.685.4895

Results disclosure agreements

  • Principal investigator is a sponsor employee The PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days from the time submitted to the sponsor for review. If requested in writing, Institution and Investigator will withhold such Public Presentation for up to an additional ninety (90) days to allow for filing of a patent application.
  • Publication restrictions are in place

Restriction type: OTHER